Senior benefits in Buncombe County, North Carolina
Seniors in Buncombe County, North Carolina have access to a wide range of benefit programs that can help with everyday costs, home repairs, health care, and more. The **Land of Sky Area Agency on Aging** is the local starting point for older adults and family caregivers looking for guidance. Through local programs, eligible residents may get help with home repairs from **Mountain Housing Opportunity**, energy bill assistance through **Buncombe County DSS** via LIEAP and the Crisis Intervention Program, and affordable transportation through **Mountain Mobility and the ART Senior Bus Pass**. Seniors facing medical bills may also want to look into **Mission Hospital Financial Assistance**. Beyond these local resources, North Carolina state programs — such as SHIIP Medicare counseling, Project C.A.R.E., the Circuit Breaker Property Tax Deferment, and the NC Family Caregiver Support Program — add another layer of help. Federal programs also apply here. This page lists each program with its official source and the date it was last verified. The administering agency always makes the final eligibility decision.
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Local programs
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North Carolina programs
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Federal programs
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Categories
Last verified · October 12, 2026
Local starting point
Land of Sky Regional Council Area Agency on Aging (Region B), the designated Area Agency on Aging under the Older Americans Act for Buncombe, Henderson, Madison, and Transylvania counties.
828-251-6622
See which of these Buncombe County programs you may qualify for.
Discover my benefitsHelping others? Print the Buncombe County benefits checklist — free to hand out.
When benefit rules change, it’s tracked here
Income limits, new requirements, how to apply — see what’s changed across senior benefit programs, from the official source in plain English.
Programs run in Buncombe County
Run by the county, its Area Agency on Aging, or another agency serving Buncombe County. Start here.
Elder Services in Buncombe County
Programs here typically provide services worth $1,000–$6,000 a year to an eligible household.
Land of Sky Area Agency on Aging Services (Buncombe County)
County · North CarolinaThe Land of Sky Area Agency on Aging serves older adults age 60 and older and their caregivers in Buncombe County. Services include congregate and home-delivered meals, family caregiver support and respite, the Seniors' Health Insurance Information Program (SHIIP) for Medicare counseling, options counseling for long-term care, the long-term care ombudsman, and adult protective services coordination. Call the Area Agency on Aging to learn what is available locally.
Estimated service value: $1,000–$6,000 a year
Energy Assistance in Buncombe County
Programs here typically lower an eligible household's bills by $300–$1,100 a year.
Low Income Energy Assistance (LIEAP) and Crisis Intervention (CIP) — Buncombe County DSS
County · North CarolinaNorth Carolina's Low Income Energy Assistance Program (LIEAP) gives a one-time payment toward heating costs, and the Crisis Intervention Program (CIP) helps when a household faces a heating or cooling emergency. Both are run by the Buncombe County Department of Social Services. Households with an older adult (60+) or a person with a disability can apply starting December 1; other eligible households apply starting in January, until funds run out. Apply online through ePASS at epass.nc.gov, by phone, or at the county DSS office.
Estimated bill savings: $300–$1,100 a year
Healthcare in Buncombe County
Mission Hospital Financial Assistance (Buncombe County)
County · North CarolinaMission Hospital in Asheville is the main hospital serving Buncombe County. It offers charity (financial assistance) for emergency and medically necessary care to patients who cannot afford to pay. Self-pay patients receive an uninsured discount, and a Patient Limited Plan helps patients with limited or high-deductible coverage. Apply by asking for a financial assistance application or calling the billing office.
Estimated bill savings: about $0 a year
In this county: Buncombe: Mission Health financial assistance covers emergency and medically necessary care; award depends on household income and the hospital's published policy.
Housing Assistance in Buncombe County
Housing and Home Improvement (minor repairs for older adults) — Buncombe County
County · North CarolinaMountain Housing Opportunity makes minor repairs and safety improvements to the homes of Buncombe County residents age 60 and older who have no one able and willing to do the work for them. Depending on what the local provider offers, help can include security improvements, minor home repairs, ramps, grab bars and other accessibility changes, and repair or replacement of basic furnishings and appliances. Renters can qualify with written permission from the landlord. Help is limited to $7,000 per person each program year. Call Mountain Housing Opportunity at 828-254-4030 to apply.
Estimated service value: $0–$7,000 a year
Transportation in Buncombe County
Programs here typically provide services worth $200–$2,000 a year to an eligible household.
Mountain Mobility + ART Senior Bus Pass (Buncombe County)
County · North CarolinaBuncombe County residents who are age 65 or older or who have a disability can get low-cost or free rides. The Senior Bus Pass Program gives a free monthly pass to riders 65+ who use the ART fixed-route bus in Asheville. Mountain Mobility, the county's Community Transportation System, runs door-to-door rides and provides ADA complementary paratransit for ART, plus the RIDE voucher program for elderly and disabled residents. Call Mountain Mobility at 828-250-6750, option 5, to enroll or check fares.
Estimated service value: $200–$2,000 a year
In this county: Buncombe: ART Senior Bus Pass is free for riders 65+; Mountain Mobility paratransit fares and RIDE vouchers depend on the trip and ADA eligibility.
Local agencies serving Buncombe County
Who runs the county programs above, and how to reach them. Every line comes from a program record on this page — nothing is added that the catalog does not cite.
Mission Hospital, Asheville (Mission Health, part of HCA Healthcare).
Mountain Housing Opportunity, the Buncombe County provider funded by the NC Division of Aging (Home and Community Care Block Grant)
Runs: Housing and Home Improvement (minor repairs for older adults)
Buncombe County Mountain Mobility (county Community Transportation System) and the City of Asheville's ART fixed-route bus system.
Land of Sky Regional Council Area Agency on Aging (Region B), the designated Area Agency on Aging under the Older Americans Act for Buncombe, Henderson, Madison, and Transylvania counties.
Buncombe County Department of Social Services / Health and Human Services, which administers North Carolina's LIEAP (heating) and Crisis Intervention Program (CIP) for Buncombe County.
Runs: Low Income Energy Assistance (LIEAP) and Crisis Intervention (CIP)
North Carolina and federal programs
Open to eligible households in Buncombe County and across the rest of North Carolina. Full details are on the North Carolina benefits page.
Money & income2 programs
Cash paid to you, and emergency help when money runs short.
Health & Medicare costs8 programs
Medicaid, Medicare savings, and help with drug and doctor bills.
- Medicare Savings Program (North Carolina) — QMB / SLMB / QI
- North Carolina Medicaid — Aged, Blind & Disabled (MAABD)
- SHIIP — Seniors' Health Insurance Information Program (Medicare Counseling)
- Extra Help (Part D Low-Income Subsidy)
- Qualifying Individual (QI)
- Qualified Medicare Beneficiary (QMB)
- Specified Low-Income Medicare Beneficiary (SLMB)
- State Health Insurance Assistance Program (SHIP)
Food6 programs
SNAP (food stamps), meals, and farmers market coupons.
- North Carolina Seniors' Farmers' Market Nutrition Program (SFMNP)
- Commodity Supplemental Food Program (CSFP) Senior Food Box
- Congregate Meals at Senior Centers
- Home-Delivered Meals (Meals on Wheels)
- Senior Farmers' Market Nutrition Program (SFMNP)
- SNAP (Supplemental Nutrition Assistance Program) for Seniors
Home, bills & taxes13 programs
Help with heating and electric bills, rent, property taxes, and home repairs.
- Crisis Intervention Program (CIP) — Energy Crisis Assistance
- Low Income Energy Assistance Program (LIEAP)
- Operation Fan Heat Relief — Free Summer Fans (North Carolina)
- North Carolina Disabled Veteran Property Tax Homestead Exclusion ($45,000)
- Circuit Breaker Property Tax Deferment Program
- Elderly or Disabled Homestead Property Tax Exclusion
- Essential Single-Family Rehabilitation (ESFR) — Major Home Repairs
- NC Targeting Program — Permanent Supportive Housing for Adults with Disabilities
- Federal Lifeline
- Weatherization Assistance Program (WAP)
- Federal Credit for the Elderly or the Disabled (IRS Schedule R)
- Housing Choice Voucher (Section 8)
- HUD Section 202 Supportive Housing for the Elderly
Care at home & long-term care8 programs
Help staying in your home, nursing home alternatives, and support for family caregivers.
- Community Alternatives Program for Disabled Adults (CAP/DA) — Home & Community-Based Waiver
- PACE — Program of All-Inclusive Care for the Elderly (North Carolina)
- North Carolina State Veterans Homes (Skilled Nursing Care)
- North Carolina Family Caregiver Support Program
- NC Lifespan Respite Voucher — up to $750 a year for family caregivers
- Project C.A.R.E. — dementia caregiver consultation and respite funds
- PACE — Program of All-Inclusive Care for the Elderly
- National Family Caregiver Support Program (OAA Title III-E)
Help, advice & legal8 programs
Free counseling, legal help, rides, and other senior services.
- North Carolina State/County Special Assistance (Adult Care Home & In-Home Support)
- North Carolina Disabled Veteran Lifetime Hunting & Fishing License ($10)
- NCDMVA Veterans Service Officers — Free VA Claims Help
- Legal Assistance for Older Adults
- North Carolina State Veterans Cemeteries (No-Cost Burial for Veterans)
- Older Americans Act Supportive Services (Title III-B)
- Long-Term Care Ombudsman Program
- Senior Medicare Patrol (SMP)
Veterans3 programs
Benefits for veterans and their surviving spouses.
Nearby counties
Local programs differ from one county to the next. If you live near a county line, or you are helping a parent who lives in one of these, it is worth checking there too.
Not legal or financial advice. The agency makes the final eligibility decision.
